Female Blepharoplasty

Before

After

Before

After

This 50 year-old woman described heavy upper eyelids with no eyelid show and looking tired. The photograph shows soft tissue overhang of the upper eyelids with the skin touching her upper eyelid eyelashes and lines in the lower eyelid skin. Dr. Julian De Silva performed conservative upper blepharoplasty giving the patient an

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upper eyelid platform while maintaining a natural appearance. In addition the lower eyelid skin was refreshed with skin resurfacing. The patient was very happy with the result as she had a natural looking rejuvenation of her appearance.

This 51 year-old Asian woman had marked heaviness in upper eyelids with sun damage to her face. The reviewed photograph shows marked changes associated with facial ageing including rolls of skin and soft tissue laxity of the upper eyelids. Dr. Julian De Silva performed upper blepharoplasty hiding the incision in the patient’s natural skin crease with

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a conservative reduction of the excess skin, muscle and fat. In the ‘after’ photograph the patient has a more youthful appearance, the eyelids have an increased upper eyelid show while remaining natural looking in appearance with no signs of previous surgery.

NS a woman in her 20s from London, had noticed excess skin overhanging her upper eyelids, with multiple lines in the eyelid, that was weighing her eyes down and making her look older and tired. While on holiday, she had decided to undergo eyelid surgery, also known as blepharoplasty, in Asia. However the surgery had been a disappointment and had not given the

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rejuvenation she had hoped and she had not been happy with the results. After the surgery there was asymmetry with multiple folds of skin and lines around the upper eyelids and a more tired and older appearance. She went to see Dr. Julian De Silva a facial cosmetic and plastic surgeon based in London for revision eyelid surgery. Dr. Julian De Silva found on assessment that she eyelid scars that were 50% higher than normal, making them visible on her face and creating un-natural multiple skin creases her upper eyelid. According to Dr. De Silva “Multiple skin creases and lines in the upper eyelids is an appearance that is associated with facial ageing and when asymmetrical is very noticeable. Having multiple lines can make a younger patient look older and is an avoidable with meticulous attention to detail. Scars in the upper eyelids can be very difficult to correct as once made, and Revision plastic surgery must be focused on adapting natural lines in the skin to hide these scars. The anatomy that makes up the eyelids includes very delicate layers of soft tissues, damage to these tissues can be very difficult to repair, in some cases only a 50% improvement is possible, if patients expectations from surgery are very high, I will advise against surgery” Dr. De Silva performed revision blepharoplasty surgery on NS and her eyelids are more symmetrical and she remains very happy with the results.

This 49-year old patient had noticed eyelid changes and undergone blepharoplasty surgery with a consultant in UK. She was very disappointed by the results as she didn’t look rejuvenated and continued to have drooping of the upper eyelid skin after the surgery. She was told this could only be improved with a further more invasive brow lift

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surgery. She was reluctant to have this surgery and went to see Dr. Julian De Silva a facial cosmetic and plastic surgeon based in London for a further opinion. Dr. De Silva advised her the appearance could be improved with a revision blepharoplasty and under local anaesthesia, although most of the incision could be hidden in the natural skin creases, a small 8mm part of the incision was hidden at the corner of the eye in the area where she had commonly occurring lines also know as crows feet. She underwent Revision facial plastic surgery under that gave her the result that she had always wanted. After surgery numerous people commented on how she looked rejuvenated, though no one could tell she had undergone surgery.

This 19 year-old teenager described heavy upper eyelids with multiple wrinkles and looking tired. Although facial ageing are the most common causes of eyelid changes, in younger patients, genes can influence the appearance of the upper eyelids with lines, wrinkles and fat bags. The photograph shows soft tissue overhang of the upper eyelids with

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multiple lines in the skin. Dr. Julian De Silva performed conservative upper blepharoplasty giving the patient an upper eyelid platform. The patient was very happy with the result as she had a natural looking appearance with no signs of surgery.

This 40 year-old Afro-Caribbean woman described heavy upper eyelids with increasing fullness laterally and looking tired looking eyes. The photograph shows soft tissue overhang of the upper eyelids with the skin touching her upper eyelid eyelashes and prolapse of the lacrimal gland at the outside corner of the eyelid. Dr. Julian De Silva performed

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conservative upper blepharoplasty giving the patient an upper eyelid platform and restoring the lacrimal gland to its normal position behind the eyelid with suspension stitches. The patient was very happy with the result as she had a natural looking rejuvenation of her appearance.

This 55 year old middle eastern woman described tired looking eyes and using cosmetic products to try and hide the signs of facial ageing. The before photographs shows marked changes associated with facial ageing including heavy upper eyelids. The lower eyelids show fat bags, with a dark circle depression below the eyelid and wrinkling in the skin as

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a consequence of skin laxity. Dr. Julian De Silva performed upper blepharoplasty hiding the incision in the patient’s natural skin crease with a conservative reduction of the excess skin, muscle and fat. In the lower eyelid, transconjunctival (hidden incision) lower blepharoplasty with fat transfer to reduce the dark circles and hollowness. Finally skin resurfacing was completed to smoothen the surface of the skin rejuvenating the patient’s appearance. In the ‘after’ photograph the patient has a more youthful appearance, the eyelids have an increased upper eyelid show and the lower eyelids are smooth with an absence of bags, dark circles and wrinkles.

This 59 year-old woman described increased bags in the lower eyelids, which been present for a number of years and resulted in a tired appearance. Dr. Julian De Silva performed trans-conjunctival (hidden incision) lower blepharoplasty with canthopexy (lower eyelid support). Important considerations in this person include some fat should be

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transposed and preserved to avoid hollowness, conservative surgery is advised to give patients natural looking results. The ‘after’ photograph shows the appearance of the eyelids at 6-weeks after surgery and shows an absence of fat bags and a smoothened contour between his eyelid and cheek associated with youth. There are no incision in the skin and no clinical signs of surgery resulting in a completely natural looking result. The patient was very happy with the resulting appearance.

Tired of being asked if she was tired, this 46-year-old woman wanted to rid herself of the overhanging skin below her brows that was weighing her eyes down. She decided to contact London Centre for Advanced Facial Cosmetic Surgery to see what options there were for rejuvenating tired eyes. When she met with Dr. De Silva, they discussed her concerns and he

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suggested that upper and lower eyelid surgery would best address her concerns. Upper eyelid surgery removed excess skin, fat and a small amount of muscle above the eye (Upper Blepharoplasty), clearing away the skin that makes the eyes look tired and older. Lower eyelid surgery repositioned some fat to areas of hollowing in the eyelid through a transconjunctival incision (Hidden incision on the inside of the eyelid with no scarring) and addresses puffiness below the eyes (Lower Blepharoplasty). She also went underwent eyelid support with strengthening of the eyelid tendon (Canthopexy) and TCA skin resurfacing (TriChloroAcetic acid peel of the lower eyelid skin). As a combination procedure, upper and lower eyelid surgery with skin rejuvenation work together to refresh the eyes and make the eyes appear much more youthful. For this patient, her eyelid surgery opened her eyes more, making them look more alert and taking years off of the appearance of her eyes. Her eyes are no longer hiding underneath excess skin and the lower eyelid lines have been smoothened away. When asked about the results, she said that she was very happy with how well rested her eyes look.

(CO2 laser resurfacing). The upper eyelid fullness and loss of the eyelid crease was treated with an upper blepharoplasty. She was very happy with her results, her surgery gave her both a more youthful appearance and brought out the natural beauty of her green eyes and eyelid shape.

This 45-year-old professional woman was beginning to notice the effects of aging and wanted to rejuvenate her appearance. She was especially unhappy with the puffiness around her lower eyes and bags. She set up an appointment with a Dr. De Silva to discuss her options. The day of her consultation, Dr. De Silva paid close attention as she described her wish to

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look younger more refreshed. She mentioned that her eyes appeared tired as a result of bags in the lower eyelids and wanted her skin to look tighter and smoother. Her surgeon suggested lower eyelid surgery, to remove the excess fat that were causing her fat-bags that would improve her facial contours and provide her with the rejuvenated look she wanted. Her post-op photos reveal that her surgery was successful and she now appears more rested and refreshed. Her hazelnut brown eyes are enhanced and look more prominent than they did before. The blepharoplasty helped to tighten the skin below her eyes and soften the wrinkles. Both she and her surgeon were very happy with her results.

This 63 year-old woman was referred to Dr. De Silva by a friend, concerned that her brown eyes were being overshadowed by her drooping brows and puffy lower lids. She wanted to bring out her eyes by having eyelid surgery at London Centre of Facial Cosmetic Surgery to make her eyes seem bolder and refreshed. She met with Dr. De Silva, finally deciding that

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upper eyelid surgery would achieve her goals.In standard upper eyelid surgery, fatty deposits (which make the eyes appear puffy), excess skin and muscle are reduced and redistributed to smooth and tighten the area. After this woman’s surgery, her eyes appeared fuller, smoother and more noticeable to others, as can be seen in the “after” picture. The “after” picture was taken about 6-months after the surgery. They show a decrease in the sagging above the eyes, making her eyes seem larger and more alert than in the “before” pictures. She was very satisfied with her new appearance because her eyes stand out rather than disappear, winning her many compliments on her big, beautiful brown eyes.

This patient in their early 40s described heavy upper eyelids with no eyelid show and looking tired. The photograph shows soft tissue overhang of the upper eyelids with the skin touching her upper eyelid eyelashes and deep glabellar lines (Vertical lines between her eyebrows). Dr. Julian De Silva performed conservative upper

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blepharoplasty giving the patient an upper eyelid platform while maintaining a natural appearance. In addition the deep glabellar lines were treated with a combination of botox and hyaluronic acid filler to improve the final result.

This patient in her 60s described difficulty in putting makeup on her eyes as a result of smudging and looking tired. The reviewed photograph shows marked changes associated with facial ageing including rolls of skin and muscle on the upper eyelids. The lower eyelids show fat bags, with a dark circle depression below the eyelid and marked wrinkling

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in the skin as a consequence of skin laxity. Dr. Julian De Silva performed upper blepharoplasty hiding the incision in the patient’s natural skin crease with a conservative reduction of the excess skin, muscle and fat. In the lower eyelid, transconjunctival (hidden incision) lower blepharoplasty with fat transfer to reduce the dark circles and hollowness. Finally skin resurfacing was completed to smoothen the surface of the skin rejuvenating the patient’s appearance. In the ‘after’ photograph the patient has a more youthful appearance, the eyelids have an increased upper eyelid show and the lower eyelids are smooth with an absence of bags, dark circles and wrinkles.

This woman in her 20s was looking to have Asian blepharoplasty with cosmetic surgery to create an eyelid crease. On examination she had complete absence of upper eyelid crease and she wanted a natural looking and conservative improvement in her appearance. Dr. Julian De Silva completed an Asian blepharoplasty with the trans-cutaneous approach

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resulting in a long-lasting and natural result. On review of the ‘after’ photograph there is a symmetrical and clear upper eyelid crease that looks natural and make the eyes appear more open. The patient was very happy with the result and had a natural looking improvement of her appearance.